Organization
BLUE SKY MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE MARIE YOUNG LPCC (OWNER/THERAPIST)
(218) 831-3715
Entity
Organization
Contact information
Practice address
14362 107TH ST SE, BECKER, MN 55308-8905
(218) 831-3715
Mailing address
14362 107TH ST SE, BECKER, MN 55308-8905
(218) 831-3715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00596
BOARD OF BEHAVIORAL HEALTH
MN
01
—
1730526419
NPI
MN
Enumeration date
02/07/2019
Last updated
12/26/2024
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